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Individual

DR. KENT GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
512 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 873-1202
(843) 873-4962
Mailing address
512 N PINE ST, SUMMERVILLE, SC 29483-6555
(843) 873-1202
(843) 873-4962

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
9849
TN
1223G0001X
General Practice Dentistry
Primary
8852
SC

Other

Enumeration date
08/26/2014
Last updated
12/21/2020
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